Individual provider · Type 1 NPI
Jessica Brunner, PA-C
Medical Physician Assistant · Milwaukee, WI
NPI number
1407225964
Active
Practice location
9200 W Wisconsin Ave, Dept Of Internal Medicine
Milwaukee, WI 53226-3522
Fax (414) 805-6851
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4005 (WI) |
Medical Physician Assistant: Definition to come...
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About NPI 1407225964
Jessica Brunner, PA-C's National Provider Identifier is 1407225964, issued on Sep 15, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 9, 2024.